Your son's story reminds me of myself when I was in college, except I never reached out. I retreated into my own "pretend" world. I ended up having what I recognize as a delusional episode of paranoia. I just didn't realize that there was anything wrong. I related every mood swing to situation and blamed others for how I was feeling much of the time.
I am happy that your son has reached out for help. It will only help him in the future. I waited until I was 35. By the time I thought there was anything worng, I was too afraid of being labeled as "crazy." I think that contributes to the difficulty my team and I are seeing in treating me successfully. (well, that and the fact that I haven't yet found a p-doc that I can trust.)
You are doing the right thing for you son. I hope to be as attentive as you are when my kids are older. My 8 year old is already diagnosed with ADHD, anxiety and depression. (Sigh)
I hope your son finds some peace.
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